Kannapolis Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Kannapolis Health and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF697Aug 10, 2023

  Based on resident observation, record review, and interviews with the nursing staff, Nurse Practitioner (NP), and Medical Director, the facility failed to administer pain medication prior to completing 50 wound dressing changes during the previous 34 days for a resident with a Stage 4 pressure ulcer and severe cognitive impairment. This occurred for 1 of 2 residents (Resident #16) reviewed for pressure ulcers. Resident #16's Stage 4 pressure ulcer on her left heel required scheduled wound dressing changes; the frequency of these dressing changes increased from once daily to twice a day on 6/22/23. At that time, Resident #16 had an order for an opioid pain medication to be administered twice daily. […]

• Immediate jeopardy, isolatedF689Mar 18, 2026

  Based on record review, observations, and interviews with family, staff, Nurse Practitioner, and Physician, the facility failed to provide the necessary supervision for a resident who was severely cognitively impaired, had difficulty swallowing, and was on a mechanical soft diet (foods that are naturally soft or altered [chopped, ground, mashed, or pureed] to require minimal chewing, making them safer and easier to swallow) with nectar thickened liquids (thickened consistency to slow the flow of the liquid to prevent choking and aspiration by allowing more time for the airway to close). […]

• Immediate jeopardy, isolatedF760Jan 16, 2025

  Based on record reviews, and Nurse Practitioner (NP), Physician, Pharmacist, Endocrinologist, and staff interviews, the facility failed to prevent a significant medication error related to hydrocortisone prescribed for Resident #137 (hydrocortisone tablets are a steroid medication that works by decreasing inflammation, slowing down an overactive immune system or replacing the cortisol hormone that helps the body respond to stress) when Resident #137 missed a dose of hydrocortisone on ([DATE]), received the wrong dose of hydrocortisone for two days ([DATE] and [DATE]) and then the medication was abruptly stopped. […]

• Actual harm, isolatedF561Aug 10, 2023

  Based on observations, resident and staff interviews, and record reviews, the facility failed to allow residents who were assessed to be safe smokers the ability to smoke independently per their individual preference for 2 of 4 residents (Resident #46 and #31) reviewed for smoking. Resident #46 verbalized this practice resulted in his feelings of being treated like a child and a prisoner. The findings included: 1. Resident #46 was admitted to the facility on [DATE]. A review of Resident #46's electronic medical record included a Smoking Evaluation dated 2/22/23. The smoking evaluation indicated Resident #46 smoked. The last section on the Smoking Evaluation indicated the resident was determined to be a Safe Smoker. […]

• No harm, potential for more than minimal, patternF761Mar 18, 2026

  Based on observations, record review, and staff interviews, the facility failed to discard expired multi-use medications on 1 of 2 medication carts reviewed (Medication Cart [DATE]) and failed to date multi-use medications upon opening, as required by manufacturer recommendations, on both medication carts reviewed (Medication Cart [DATE] and Medication Cart [DATE]). These failures have the potential to result in the administration of expired or improperly labeled medications.Findings included: 1) An inspection was conducted on [DATE] at 11:10 AM of Medication cart [DATE] in the presence of Med Aide #1. […]